Bronchology Past, Present and Future Diagnostic Procedures
9
Which ventilation technique to use depends on the type of broncho-
scope that is available:
Non-ventilating bronchoscope.
Ventilating bronchoscope.
Ventilating bronchoscope in combination with Sanders injector technique.
Amongst other ventilation techniques, the KARL STORZ bronchoscopes can be
used for high-frequency jet ventilation (HFJV) via a special LUER-Lock connect-
or at the proximal end of the bronchoscope. Alternatively, the perpendicularly
positioned side port can be fitted to a conventional anesthesia circle system
enabling regular ventilation. The application of jet ventilation is very convenient
and offers optimum vision and easy access for diagnostic and surgical instru-
ments into the airways. The technique has been introduced into clinical practice
by Sanders in 1970 and therefore it is often called Sanders injector technique.
Another common denomination is Venturi principle, which actually covers on-
ly one of the involved mechanisms for gas transport and exchange in the airway.
The author uses the balanced anesthesia technique with intravenous injection
for induction and TIVA (total IV anesthesia). Our patients are ventilated with a
KARL STORZ bronchoscope via Sanders injector technique.
For anesthesia, a benzodiazepine (Diazepam or Midazolam) and, for relaxation,
intermittent doses of Succinylcholine are used.
In the authors experience, this is an excellent anesthetic technique for AF Bron-
choscopy.
Fig. 6
Combined Bronchoscopy with HOPKINS®
Telescope or Broncho-Fiberscope (apply-
ing Sanders injector technique and KARL
STORZ D-LIGHT AF System, as shown
above).
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